Monica Thomas
Registered Nurse · Alexander City, ALNPI 1124661954
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 91.3% of the total across 96 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 29 manufacturers reported payments, led by Otsuka America Pharmaceutical, Inc. at 32.9% of the total. Among registered nurse clinicians in AL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 96 payments — averaging $20.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Otsuka America Pharmaceutical, Inc.$661
- Amgen$175
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$131
- Mylan Specialty L.p.$80
- Novo Nordisk$80
- Johnson & Johnson$76
- plus $804 from 23 others
What the payments were for
- Consulting fees$1759%
- Food & beverage$1,83391%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Prolia$175
How this compares
$2,008 in reported general payments places this provider in the 95th percentile of 103 registered nurse providers in Alabama.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 12 | $7,450 |
| CefuroximeCefuroxime Axetil | 105 | $1,148 |
| Fluticasone Propionate | 76 | $975 |
| Levocetirizine Dihydrochloride | 83 | $793 |
| Methylprednisolone | 82 | $761 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 25 | $480 |
| Azithromycin | 91 | $454 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 47 | $435 |
| Nystatin | 13 | $274 |
| Doxycycline Monohydrate | 13 | $248 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 17 | $232 |
| Doxycycline Hyclate | 26 | $207 |
| Cephalexin | 15 | $194 |
| Ciprofloxacin Hcl | 24 | $130 |
| Pantoprazole Sodium | 14 | $126 |
Paid to pharmacies, not to this prescriber.
Other registered nurse in Alexander City
- Justin PerryBirmingham$4K
- Baleigh SwaneyPell City$3K
- Destiny MathisMontgomery$1K
- Amy McMurryBirmingham$1K
- Frances BosargeBirmingham$1K
- Michelle QuickAnniston$1K
- Theresa SchillerBirmingham$994
- Kevin PattersonDecatur$991
- Leanne SauersVestavia$787
- Brandon JonesPell City$738
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.